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  1. Article: A novel variant of NR5A1, p.R350W implicates potential interactions with unknown co-factors or ligands.

    Gau, Maki / Suga, Ryota / Hijikata, Atsushi / Kashimada, Ayako / Takagi, Masatoshi / Nakagawa, Ryuichi / Takasawa, Kei / Shirai, Tsuyoshi / Kashimada, Kenichi / Morio, Tomohiro

    Frontiers in endocrinology

    2023  Volume 13, Page(s) 1033074

    Abstract: Introduction: NR5A1 and NR5A2 belong to an orphan nuclear receptor group, and approximately 60% of their amino acid sequences are conserved. Transcriptional regulation of NR5A receptors depends on interactions with co-factors or unidentified ligands.: ...

    Abstract Introduction: NR5A1 and NR5A2 belong to an orphan nuclear receptor group, and approximately 60% of their amino acid sequences are conserved. Transcriptional regulation of NR5A receptors depends on interactions with co-factors or unidentified ligands.
    Purpose and methods: We employed in vitro and in silico analysis for elucidating the pathophysiology of a novel variant in the ligand-binding domain of NR5A1, p.R350W which was identified from a 46,XY patient with atypical genitalia.
    Results: In the study, [1] reporter assays demonstrated that R350 is essential for NR5A1; [2] 3D model analysis predicted that R350 interacted with endogenous ligands or unknown cofactors rather than stabilizing the structure; [3] R350 is not conserved in NR5A2 but is specifically required for NR5A1; and [4] none of the 22 known missense variants of the ligand binding domain satisfied all the previous conditions [1]-[3], suggesting the unique role of R350 in NR5A1.
    Conclusion: Our data suggest that NR5A1 has unidentified endogenous ligands or co-activators that selectively potentiate the transcriptional function of NR5A1
    MeSH term(s) Humans ; Mutation ; Ligands ; Disorder of Sex Development, 46,XY ; Mutation, Missense ; Amino Acid Sequence ; Steroidogenic Factor 1/genetics
    Chemical Substances Ligands ; NR5A1 protein, human ; Steroidogenic Factor 1
    Language English
    Publishing date 2023-01-20
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2592084-4
    ISSN 1664-2392
    ISSN 1664-2392
    DOI 10.3389/fendo.2022.1033074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Initial patient choice of a growth hormone device improves child and adolescent adherence to and therapeutic effects of growth hormone replacement therapy.

    Gau, Maki / Takasawa, Kei

    Journal of pediatric endocrinology & metabolism : JPEM

    2017  Volume 30, Issue 9, Page(s) 989–993

    Abstract: Background: It is thought that growth hormone (GH) therapy success depends on the patient's adherence to their treatment regimen, but an optimal approach to improve adherence has not yet been established.: Methods: To evaluate the effect of patient ... ...

    Abstract Background: It is thought that growth hormone (GH) therapy success depends on the patient's adherence to their treatment regimen, but an optimal approach to improve adherence has not yet been established.
    Methods: To evaluate the effect of patient choice of a GH device on adherence to GH therapy, we carried out a retrospective longitudinal study of 46 GH deficient patients (24 boys, mean age of commencing GH therapy: 7.70±3.12 years) treated with recombinant GH therapy for 3 years, either with or without patient choice (n=28, 18, respectively).
    Results: The group comparison study for adherence, which evaluated the frequency of missed injections based on self-report, revealed that patient choice reduced the proportion of patients with low adherence 3 years after commencing GH therapy (33.3%-7.1%, p=0.042). Furthermore, this longitudinal study revealed that the patients with choice yielded significantly greater height standard deviation scores (SDS) (ΔHt SDS: 1.34±0.44 vs. 0.92±0.57, p=0.020) and insulin-like growth factor 1 (IGF-1) SDS (ΔIGF-1 SDS: 2.49±0.75 vs. 1.89±1.13, p=0.038) than those without choice.
    Conclusions: These results indicate that patient choice might improve adherence to GH therapy, which improves the therapeutic effects of GH therapy.
    Language English
    Publishing date 2017-08-28
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1231070-0
    ISSN 2191-0251 ; 0334-018X
    ISSN (online) 2191-0251
    ISSN 0334-018X
    DOI 10.1515/jpem-2017-0146
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  3. Article ; Online: Phenotypic Variation in 46,XX Disorders of Sex Development due to the Fourth Zinc Finger Domain Variant of WT1: A Familial Case Report.

    Kirino, Shizuka / Yogi, Analia / Adachi, Eriko / Nakatani, Hisae / Gau, Maki / Iemura, Ryosei / Yamano, Haruki / Kanamori, Toru / Mori, Takayasu / Sohara, Eisei / Uchida, Shinichi / Okamoto, Kentaro / Udagawa, Tomohiro / Takasawa, Kei / Morio, Tomohiro / Kashimada, Kenichi

    Sexual development : genetics, molecular biology, evolution, endocrinology, embryology, and pathology of sex determination and differentiation

    2023  Volume 17, Issue 1, Page(s) 51–55

    Abstract: Introduction: The variants in the zinc finger (ZF) domains 1-3 in WT1 are one of the major causes of 46,XY disorders of sex development (DSD). Recently, variants in the fourth ZF (ZF4 variants) were reported to cause 46,XX DSD. However, all the 9 ... ...

    Abstract Introduction: The variants in the zinc finger (ZF) domains 1-3 in WT1 are one of the major causes of 46,XY disorders of sex development (DSD). Recently, variants in the fourth ZF (ZF4 variants) were reported to cause 46,XX DSD. However, all the 9 patients reported were de novo, and no familial cases were identified.
    Case presentation and results: The proband (16-year-old social female) had a 46,XX karyotype with dysplastic testes and moderate virilization in genitalia. A ZF4 variant, p.Arg495Gln, in WT1 was identified in the proband, her brother, and mother. The mother did not show any virilization with normal fertility, and the 46,XY brother developed normal puberty.
    Conclusion: The phenotypic variations due to the ZF4 variant are extremely broad in 46,XX cases.
    MeSH term(s) Humans ; Male ; Female ; Adolescent ; Zinc Fingers/genetics ; Virilism ; Genitalia ; Biological Variation, Population ; 46, XX Disorders of Sex Development/genetics ; 46, XX Disorders of Sex Development/pathology ; Disorders of Sex Development/genetics ; WT1 Proteins
    Chemical Substances WT1 protein, human ; WT1 Proteins
    Language English
    Publishing date 2023-02-16
    Publishing country Switzerland
    Document type Case Reports ; News
    ZDB-ID 2253672-3
    ISSN 1661-5433 ; 1661-5425
    ISSN (online) 1661-5433
    ISSN 1661-5425
    DOI 10.1159/000529720
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  4. Article ; Online: BMP2 is a potential causative gene for isolated dextrocardia situs solitus.

    Yogi, Analia / Iemura, Ryosei / Nakatani, Hisae / Takasawa, Kei / Gau, Maki / Yamauchi, Takeru / Yoshida, Masayuki / Moriyama, Keiji / Ishii, Taku / Hosokawa, Susumu / Yamada, Mamiko / Suzuki, Hisato / Kosaki, Kenjiro / Kashimada, Kenichi / Morio, Tomohiro

    European journal of medical genetics

    2023  Volume 66, Issue 9, Page(s) 104820

    Abstract: BMP2 (bone morphogenic protein-2) is a member of the TGF-β superfamily and has essential roles in the development of multiple organs, including osteogenesis. Because of its crucial role in organ and skeletal development, Bmp2 null mice is fetal lethal. ... ...

    Abstract BMP2 (bone morphogenic protein-2) is a member of the TGF-β superfamily and has essential roles in the development of multiple organs, including osteogenesis. Because of its crucial role in organ and skeletal development, Bmp2 null mice is fetal lethal. The recent report has characterized multiple patients with BMP2 haploinsufficiency, describing individuals with BMP2 sequence variants and deletions associated with short stature without endocrinological abnormalities, a recognizable craniofacial gestalt, skeletal anomalies, and congenital heart disease. However, due to a small number of reported patients with BMP2 haploinsufficiency, the genotype and phenotype correlations are not fully understood. We experienced a family of BMP2 haploinsufficiency with a novel frameshift variant NM_001200.4: c.231dup (p.Tyr78Leufs*38) which was predicted to be "pathogenic" by the American College of Genetics and Genomics (ACGM) criteria. In addition to short stature, impaired hearing ability and minor skeletal deformities, the proband exhibited isolated dextrocardia situs solitus without cardiac anomalies and abnormal locations of other visceral organs. Our study would shed light on the crucial role of BMP2 in determining the cardiac axis, and further studies are needed to assemble more cases to elucidate BMP2 role in human heart development.
    MeSH term(s) Mice ; Animals ; Humans ; Dextrocardia/diagnostic imaging ; Dextrocardia/genetics ; Heart Defects, Congenital/genetics ; Genotype ; Family ; Dwarfism ; Transforming Growth Factor beta/genetics ; Bone Morphogenetic Protein 2/genetics
    Chemical Substances Transforming Growth Factor beta ; BMP2 protein, human ; Bone Morphogenetic Protein 2
    Language English
    Publishing date 2023-08-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2184135-4
    ISSN 1878-0849 ; 1769-7212
    ISSN (online) 1878-0849
    ISSN 1769-7212
    DOI 10.1016/j.ejmg.2023.104820
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  5. Article ; Online: A MinION-based Long-Read Sequencing Application With One-Step PCR for the Genetic Diagnosis of 21-Hydroxylase Deficiency.

    Adachi, Eriko / Nakagawa, Ryuichi / Tsuji-Hosokawa, Atsumi / Gau, Maki / Kirino, Shizuka / Yogi, Analia / Nakatani, Hisae / Takasawa, Kei / Yamaguchi, Tomomi / Kosho, Tomoki / Murakami, Masanori / Tajima, Toshihiro / Hasegawa, Tomonobu / Yamada, Tetsuya / Morio, Tomohiro / Ohara, Osamu / Kashimada, Kenichi

    The Journal of clinical endocrinology and metabolism

    2023  Volume 109, Issue 3, Page(s) 750–760

    Abstract: Context: Recently developed long-read sequencing (LRS) technology has been considered an option for CYP21A2 analysis. However, the clinical use of LRS for CYP21A2 analysis is limited.: Objective: This study's objective is to develop an efficient and ... ...

    Abstract Context: Recently developed long-read sequencing (LRS) technology has been considered an option for CYP21A2 analysis. However, the clinical use of LRS for CYP21A2 analysis is limited.
    Objective: This study's objective is to develop an efficient and low-cost LRS system for CYP21A2 screening.
    Methods: A DNA fragment library was prepared in a single polymerase chain reaction (PCR) that covers the entire CYP21A2 gene and all known junctions caused by TNXB gene structural rearrangements, yielding a single 8-kb product of CYP21A2 or CYP21A1P/CYP21A2 chimera. After barcoding, the PCR products were sequenced on a MinION-based platform with Flongle Flow Cell R9.4.1 and R10.4.1.
    Results: The reference genotypes of 55 patients with 21-hydroxylase deficiency (21OHD) were established using the conventional method with multiplex ligation-dependent probe amplification (MLPA) and nested PCR. LRS using Flongle Flow Cell R9.4.1 yielded consistent results. Additionally, the recently updated LRS "duplex" analysis with Flongle flow cell R10.4.1 was tested to reveal an advantage of accurately sequencing a variant located on the homopolymer region. By introducing a barcode system, the cost was reduced to be comparable to that of conventional analysis. A novel single-nucleotide variation was discovered at the acceptor site of intron 7, c.940-1G > C. We also identified a subtype of the classical chimeric junction CH2, "CH2a," in the region from the latter part of intron 5 to exon 6.
    Conclusion: We successfully established a novel low-cost and highly accurate LRS system for 21OHD genetic analysis. Our study provides insight into the feasibility of LRS for diagnosing 21OHD and other genetic diseases caused by structural rearrangements.
    MeSH term(s) Humans ; Steroid 21-Hydroxylase/genetics ; Adrenal Hyperplasia, Congenital/diagnosis ; Adrenal Hyperplasia, Congenital/genetics ; Genotype ; Multiplex Polymerase Chain Reaction ; Mutation
    Chemical Substances Steroid 21-Hydroxylase (EC 1.14.14.16) ; CYP21A2 protein, human (EC 1.14.14.16)
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgad577
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  6. Article ; Online: Clinical report: Chronic liver dysfunction in an individual with an AMOTL1 variant.

    Kirino, Shizuka / Suzuki, Mitsuyoshi / Ogawa, Takuya / Takasawa, Kei / Adachi, Eriko / Gau, Maki / Takahashi, Ken / Ikeno, Mitsuru / Yamada, Mamiko / Suzuki, Hisato / Kosaki, Kenjiro / Moriyama, Keiji / Yoshida, Masayuki / Morio, Tomohiro / Kashimada, Kenichi

    European journal of medical genetics

    2022  Volume 65, Issue 11, Page(s) 104623

    Abstract: AMOTL1 is a member of the Motin protein family and localizes to tight junctions and is involved in cell polarity and paracellular permeability. Pathological variants have been reported in three patients from two separate families in recent years. The ... ...

    Abstract AMOTL1 is a member of the Motin protein family and localizes to tight junctions and is involved in cell polarity and paracellular permeability. Pathological variants have been reported in three patients from two separate families in recent years. The clinical spectrum includes cleft lip and palate along with a high incidence of congenital cardiac disease and ear malformations. We report a case of AMOTL1 pathogenic variant in a 11-year-old male patient with nonspecific and chronic liver dysfunction accompanied by persistently elevated liver enzymes since early infancy. Liver biopsy at 8 years of age revealed a mildly dilated central vein and sinusoid with no specific etiology. Liver dysfunction is not a known clinical feature of AMOTL1 malfunction. However, given that the protein is known to be involved in angiogenesis, it may be inferred that abnormalities in this process may lead to liver dysfunction. This is the first report of liver dysfunction identified in a patient with AMOTL1 malfunction, which will shed light on other putative functions of the protein.
    MeSH term(s) Angiomotins ; Child ; Cleft Lip/complications ; Cleft Palate/complications ; Humans ; Liver Diseases/genetics ; Male ; Membrane Proteins/metabolism
    Chemical Substances AMOTL1 protein, human ; Angiomotins ; Membrane Proteins
    Language English
    Publishing date 2022-09-15
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 2184135-4
    ISSN 1878-0849 ; 1769-7212
    ISSN (online) 1878-0849
    ISSN 1769-7212
    DOI 10.1016/j.ejmg.2022.104623
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  7. Article ; Online: The High Relevance of 21-Deoxycortisol, (Androstenedione + 17α-Hydroxyprogesterone)/Cortisol, and 11-Deoxycortisol/17α-Hydroxyprogesterone for Newborn Screening of 21-Hydroxylase Deficiency.

    Watanabe, Kazuhiro / Tsuji-Hosokawa, Atsumi / Hashimoto, Atsuko / Konishi, Kaoru / Ishige, Nobuyuki / Yajima, Harumi / Sutani, Akito / Nakatani, Hisae / Gau, Maki / Takasawa, Kei / Tajima, Toshihiro / Hasegawa, Tomonobu / Morio, Tomohiro / Kashimada, Kenichi

    The Journal of clinical endocrinology and metabolism

    2022  Volume 107, Issue 12, Page(s) 3341–3352

    Abstract: Context: There are limited reports on the detailed examination of steroid profiles for setting algorithms for 21-hydroxylase deficiency (21OHD) screening by liquid chromatography-tandem mass spectrometry (LC-MS/MS).: Objective: We aimed to define an ... ...

    Abstract Context: There are limited reports on the detailed examination of steroid profiles for setting algorithms for 21-hydroxylase deficiency (21OHD) screening by liquid chromatography-tandem mass spectrometry (LC-MS/MS).
    Objective: We aimed to define an algorithm for newborn screening of 21OHD by LC-MS/MS, measuring a total of 2077 dried blood spot samples in Tokyo.
    Methods: Five steroids (17α-hydroxyprogesterone [17αOHP], 21-deoxycortisol [21DOF], 11-deoxycortisol [11DOF], androstenedione [4AD], and cortisol [F]) were included in the panel of LC-MS/MS. Samples from 2 cohorts were assayed: Cohort A, 63 "screening positive" neonates who were referred to an endocrinologist (n = 26 with 21OHD; n = 37 false-positive; obtained from 2015 to 2020); and Cohort B, samples (n = 2014) with 17αOHP values in the 97th percentile or above, in the first-tier test with 17αOHP ELISA from 2020 to 2021.
    Results: Analysis of Cohort A revealed that the 3 indexes 21DOF, 11DOF/17αOHP, and (4AD + 17αOHP)/F had higher area under the curve (AUC) values (0.999, 0.997, 0.989, respectively), while the 17αOHP AUC was lower (0.970). Accordingly, in addition to 17αOHP, the 3 markers were included for defining the screening algorithm. The assay of Cohort B revealed that the new algorithm gave 92% of predicted positive predictive value without false-negative cases. We also determined the reference values for the 5 steroids at 4 to 7 days after birth, according to sex and gestational age (GA), revealing extremely low levels of 21DOF at any GA irrespective of sex differences.
    Conclusion: Our study demonstrated the high relevance of 21DOF, (4AD + 17αOHP)/F, and 11DOF/17αOHP, rather than 17αOHP, for 21OHD screening.
    MeSH term(s) Infant, Newborn ; Female ; Humans ; Male ; Cortodoxone ; Androstenedione ; Hydrocortisone ; Chromatography, Liquid/methods ; Neonatal Screening/methods ; Tandem Mass Spectrometry/methods ; 17-alpha-Hydroxyprogesterone ; Adrenal Hyperplasia, Congenital/diagnosis ; Steroids ; Androgens ; Endocrine System Diseases
    Chemical Substances 21-deoxycortisol (641-77-0) ; Cortodoxone (WDT5SLP0HQ) ; Androstenedione (409J2J96VR) ; Hydrocortisone (WI4X0X7BPJ) ; 17-alpha-Hydroxyprogesterone (68-96-2) ; Steroids ; Androgens
    Language English
    Publishing date 2022-09-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/clinem/dgac521
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  8. Article: Adrenal suppression and anthropometric data at two years of age was not influenced by the initial hydrocortisone dose in patients with 21-hydroxylase deficiency.

    Saito, Yoko / Takasawa, Kei / Gau, Maki / Yamauchi, Takeru / Nakagawa, Ryuichi / Miyakawa, Yuichi / Sutani, Akito / Hosokawa-Tsuji, Atsumi / Takishima, Shigeru / Matsubara, Yohei / Morio, Tomohiro / Kashimada, Kenichi

    Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology

    2021  Volume 30, Issue 4, Page(s) 155–161

    Abstract: In contrast to the glucocorticoid maintenance therapy employed in patients with 21 hydroxylase deficiency (21OHD), the initial therapy remains to be optimized. The Japanese Society for Pediatric Endocrinology recommends a hydrocortisone (HC) dose of 25- ... ...

    Abstract In contrast to the glucocorticoid maintenance therapy employed in patients with 21 hydroxylase deficiency (21OHD), the initial therapy remains to be optimized. The Japanese Society for Pediatric Endocrinology recommends a hydrocortisone (HC) dose of 25-100 mg/m
    Language English
    Publishing date 2021-10-01
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2079760-6
    ISSN 0918-5739
    ISSN 0918-5739
    DOI 10.1297/cpe.30.155
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  9. Article ; Online: Marked clinical heterogeneity in congenital hyperinsulinism due to a novel homozygous ABCC8 mutation.

    Takasawa, Kei / Miyakawa, Yuichi / Saito, Yoko / Adachi, Eriko / Shidei, Tsunanori / Sutani, Akito / Gau, Maki / Nakagawa, Ryuichi / Taki, Atsuko / Kashimada, Kenichi / Morio, Tomohiro

    Clinical endocrinology

    2021  Volume 94, Issue 6, Page(s) 940–948

    Abstract: Background: The most severe forms of congenital hyperinsulinism (CHI) are caused by inactivating mutations of two KATP channel genes, KCNJ11 and ABCC8. Unresponsiveness to diazoxide and need for subtotal pancreatectomy can usually be predicted by ... ...

    Abstract Background: The most severe forms of congenital hyperinsulinism (CHI) are caused by inactivating mutations of two KATP channel genes, KCNJ11 and ABCC8. Unresponsiveness to diazoxide and need for subtotal pancreatectomy can usually be predicted by genetic form, particularly biallelic mutations in KATP channel genes. A few reports indicated marked clinical heterogeneity in siblings with identical biallelic mutations in ABCC8. The clinical heterogeneity in biallelic KATP CHI was speculated to be caused by epigenetic and environmental factors or related to differences in splicing factor machinery.
    Objective: To elucidate the clinical pathophysiology, especially heterogeneity, among three cases with CHI caused by a homogenous novel mutation.
    Patients and methods: We report a case series that includes two siblings and one unrelated individual with CHI caused by a homogenous 1-bp deletion around the splice acceptor site at the exon 35 mutation of ABCC8, which exhibited markedly distinct phenotypes. To assess the effect of the mutation on splicing, we performed digital droplet polymerase chain reaction (ddPCR) on normal pancreas tissue and a patient's lymphocytes.
    Results: ddPCR of ABCC8 cDNA revealed that expression of exon 35 and its upstream and downstream regions did not differ. These data suggested that clinical heterogeneity may not be caused by differences in splicing factor machinery.
    Conclusion: The phenotypic variation in homozygotes could not be explained by splicing abnormalities. Though early genetic diagnosis of KATP CHI could contribute to selecting appropriate therapeutic options, more deliberate selection of therapeutic options in diffuse CHI due to biallelic ABCC8 mutations may be required.
    MeSH term(s) Biological Variation, Population ; Congenital Hyperinsulinism/genetics ; Diazoxide ; Humans ; Mutation ; Sulfonylurea Receptors/genetics
    Chemical Substances ABCC8 protein, human ; Sulfonylurea Receptors ; Diazoxide (O5CB12L4FN)
    Language English
    Publishing date 2021-03-14
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 121745-8
    ISSN 1365-2265 ; 0300-0664
    ISSN (online) 1365-2265
    ISSN 0300-0664
    DOI 10.1111/cen.14443
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  10. Article ; Online: Two ovarian candidate enhancers, identified by time series enhancer RNA analyses, harbor rare genetic variations identified in ovarian insufficiency.

    Nakagawa, Ryuichi / Takasawa, Kei / Gau, Maki / Tsuji-Hosokawa, Atsumi / Kawaji, Hideya / Murakawa, Yasuhiro / Takada, Shuji / Mikami, Masashi / Narumi, Satoshi / Fukami, Maki / Sreenivasan, Rajini / Maruyama, Tetsuo / Tucker, Elena J / Zhao, Liang / Bowles, Josephine / Sinclair, Andrew / Koopman, Peter / Hayashizaki, Yoshihide / Morio, Tomohiro /
    Kashimada, Kenichi

    Human molecular genetics

    2022  Volume 31, Issue 13, Page(s) 2223–2235

    Abstract: The genetic regulation of ovarian development remains largely unclear. Indeed, in most cases of impaired ovarian development-such as 46,XX disorders of sex development (DSD) without SRY, and premature ovarian insufficiency (POI)-the genetic causes have ... ...

    Abstract The genetic regulation of ovarian development remains largely unclear. Indeed, in most cases of impaired ovarian development-such as 46,XX disorders of sex development (DSD) without SRY, and premature ovarian insufficiency (POI)-the genetic causes have not been identified, and the vast majority of disease-associated sequence variants could lie within non-coding regulatory sequences. In this study, we aimed to identify enhancers of five ovarian genes known to play key roles in early ovarian development, basing our analysis on the expression of enhancer derived transcripts (eRNAs), which are considered to characterize active enhancers. Temporal expression profile changes in mouse WT1-positive ovarian cells were obtained from cap analysis of gene expression at E13.5, E16.5 and P0. We compared the chronological expression profiles of ovarian-specific eRNA with expression profiles for each of the ovarian-specific genes, yielding two candidate sequences for enhancers of Wnt4 and Rspo1. Both sequences are conserved between mouse and human, and we confirmed their enhancer activities using transient expression assays in murine granulosa cells. Furthermore, by sequencing the region in patients with impaired ovarian development in 24 patients, such as POI, gonadal dysgenesis and 46,XX DSD, we identified rare single nucleotide variants in both sequences. Our results demonstrate that combined analysis of the temporal expression profiles of eRNA and mRNA of target genes presents a powerful tool for locating cis-element enhancers, and a means of identifying disease-associated sequence variants that lie within non-coding regulatory sequences, thus advancing an important unmet need in forward human genetics.
    MeSH term(s) Animals ; Enhancer Elements, Genetic/genetics ; Female ; Genetic Variation ; Humans ; Menopause, Premature/genetics ; Mice ; Primary Ovarian Insufficiency/genetics ; Primary Ovarian Insufficiency/metabolism ; RNA/genetics ; Time Factors
    Chemical Substances RNA (63231-63-0)
    Language English
    Publishing date 2022-02-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1108742-0
    ISSN 1460-2083 ; 0964-6906
    ISSN (online) 1460-2083
    ISSN 0964-6906
    DOI 10.1093/hmg/ddac023
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